NEO-FLEX POSTURE CORRECTION AND SUPPORT SYSTEM

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Roland Johnston
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1 NEO-FEX POTURE AND UPPORT YTE QUAITY Trunk stabilization EUROPE O p e n i n g u p n e w h o r i z o n s i n m o b i l i t y N.V. Vermeiren N.V. Vermeirenplein 1-15 B-2920 Kalmthout Belgium Tel. : +32 (0) Fax: +32 (0) info@vermeiren.be

NEO-FEX POTURE AND UPPORT YTE Good body posture is the one which ensures optimal stability, requires minimal muscle effort to hold the body

Good posture is characterised by: straight position of head, physiological curvatures of sagittal plane and straight spine in coronal plane,

itting puts the most stress and strain on the spine. Thus it is very important that a person sitting in a wheelchair has proper back support.

olid backrest and seat. Correct backrest height depends on the desired amount of trunk support.

3 cm from the outside line of thigh and armrest on either side. Correct lateral support for the trunk.

2 NEO-FEX POTURE AND UPPORT YTE Good body posture is the one which ensures optimal stability, requires minimal muscle effort to hold the body upright and promotes optimal arrangement of internal organs. Good posture is characterised by: straight position of head, physiological curvatures of sagittal plane and straight spine in coronal plane, well-formed chest, shoulders slightly backward in relation to pelvis, symmetrical alignment of pelvis. itting puts the most stress and strain on the spine. Thus it is very important that a person sitting in a wheelchair has proper back support. There are three primary support surfaces: buttocks, back, and lower extremities. PREVENTION ETHOD Wheelchair fitted to the individual user. olid backrest and seat. Correct backrest height depends on the desired amount of trunk support. eat depth allows up to 2,5 cm from back of knee to front of seat. eat width allows 1.3 cm from the outside line of thigh and armrest on either side. Correct lateral support for the trunk. Correct armrest height to allow for 30 shoulder flexion and 60 elbow flexion. Footplate position allows 5 cm clearance from footplate to floor, feet positioned parallel to seat. table cushion. Achieve balance between support and function. Use correct support belts. N.V. Vermeiren N.V. Vermeirenplein 1-15 B-2920 Kalmthout Belgium Tel. : +32 (0) Fax: +32 (0) info@vermeiren.be

kyphosis AEENT Uncorrected posture Corrected posture harness U79 type H or shoulder belts U78.

forward flexion of thoracic spine, lumbar flexion most often with posterior pelvic tilt, little contact with backrest,

CAUE Wheelchair: seat to backrest angle too small and inadequate trunk support to prevent trunk collapse.

hip flexor, low trunk muscle tone, weak and deteriorated muscles.

3 kyphosis AEENT Uncorrected posture Corrected posture harness U79 type H or shoulder belts U78. ust be used with a two-point hip belt. forward flexion of thoracic spine, lumbar flexion most often with posterior pelvic tilt, little contact with backrest, hyperextended neck to see straight ahead. incorrect breathing. CAUE Wheelchair: seat to backrest angle too small and inadequate trunk support to prevent trunk collapse. Causes related to physical conditions: fixed pathological kyphosis of spine, posterior pelvic tilt, tendon tension, tight hip flexor, low trunk muscle tone, weak and deteriorated muscles. WHY TO UE THE BET extended trunk and retracted shoulder blades, reduced kyphosis, natural trunk alignment over pelvis, improved respiratory capacity, increased head control, better line of sight. H harness Reins type harness Crisscross fastening does not restrict arm movement. Independent fastening for each shoulder encourages shoulder retraction and promotes respiration.

lordosis AEENT concave curvature of spine, hyper-extended lumbar spine, anterior pelvic tilt, retracted shoulder blades, limited contact with backrest.

Causes related to physical conditions: fixed pathological lordosis of spine, anterior pelvic tilt, tendon tension, tight hip flexor, low trunk muscle

WHY TO UE THE VET primary support of sternum, reduced lordosis and anterior pelvic tilt, natural alignment of trunk over pelvis and reduced shoulder

providing posture stabilization and correction, some users will require additional support at lower ribs and abdomen to reduce lordosis.

with front pull which allows a seated person to adjust the pull.. Corrected position a vest U74 without zipper or U73 with zipper.

4 lordosis AEENT concave curvature of spine, hyper-extended lumbar spine, anterior pelvic tilt, retracted shoulder blades, limited contact with backrest. Uncorrected position. CAUE Wheelchair: seat to backrest angle to small and inadequate trunk support to prevent trunk collapse. Causes related to physical conditions: fixed pathological lordosis of spine, anterior pelvic tilt, tendon tension, tight hip flexor, low trunk muscle tone, weak and deteriorated muscles. WHY TO UE THE VET primary support of sternum, reduced lordosis and anterior pelvic tilt, natural alignment of trunk over pelvis and reduced shoulder blades retraction, improved respiratory volume, for users capable of active trunk flexion, a neoprene vest may allow more freedom of movement, while providing posture stabilization and correction, some users will require additional support at lower ribs and abdomen to reduce lordosis. Normally upper stabilization vests are delivered with rear pull when is not recommended that the patient may adjust the pull, vests may be also delivered with front pull which allows a seated person to adjust the pull.. Corrected position a vest U74 without zipper or U73 with zipper. ust be used with a four-point hip belt U75. Vest is made from high quality YCRA coated neoprene. It ensures proper flexibility and stabilization. iddle part of the vest is made from BRAND F A B R I C It s makes that part strong what improve the stability of the trunk, breathing l and control of movement as well. wivel buckles ensure free pivoting and smooth adjustment of an angle between attachment straps and the vest, straps do not twist or chafe. U74- vest without zipper. Vest available in two versions, wide and narrow designed especially for women. U73- vest with zipper. Vest available in two versions, wide and narrow designed especially for women.

coliosis AEENT lateral flexion of spine, usually in thoracic area to the right, one shoulder protruding forward and upward, one hip upward and forward pelvic obliquity, one side of chest protruding

ometimes only one wide neoprene chest belt is needed to stabilize a person as it perfectly holds the trunk in a midline position and ensures greater freedom of movement for active persons.

5 coliosis AEENT lateral flexion of spine, usually in thoracic area to the right, one shoulder protruding forward and upward, one hip upward and forward pelvic obliquity, one side of chest protruding backward (a rib hump); seen especially when bending forward, shoulders not level. Uncorrected posture. Corrected posture shoulder belts U78. Use together with a two-point hip belt U76. ometimes only one wide neoprene chest belt is needed to stabilize a person as it perfectly holds the trunk in a midline position and ensures greater freedom of movement for active persons. CAUE Wheelchair: inadequate trunk support, in particular lateral support. Uneven seating surface, seat too wide for the user. Causes related to physical conditions: flexible or fixed pathological scoliosis of spine, pelvic obliquity, asymmetrical muscle tone shortening one side of trunk, hip joint contracture. WHY TO UE THE BET Appropriate trunk support which in conjunction with hip belt and lateral support will promote an upright position of the trunk and correct alignment of the head. U80 wide neoprene chest belt ongitudinal axis rotation of vertebrae, i.e. trunk rotation AEENT lateral flexion of spine in the horizontal plane, forward ribs on one side - a rib hump, forward shoulder blade, one shoulder is forward, often in conjunction with pelvic rotation. CAUE Wheelchair: inadequate stabilization to prevent pelvic rotation, Causes related to physical conditions: pelvic rotation, increased and asymmetrical muscle tone shortening one side of trunk. Uncorrected posture Corrected posture shoulder belts U78. ust be used with a two-point hip belt U76 WHY TO UE THE BET to pull the forward shoulder back to backrest to align the trunk in the sagittal plane. Very often only one belt is required to pull the forward shoulder back.

Vests and shoulder belts election Guide C B A D E How to select a vest and shoulder belts: easure shoulder width, consider also weight changes, height, and clothing.

6 Vests and shoulder belts election Guide C B A D E How to select a vest and shoulder belts: easure shoulder width, consider also weight changes, height, and clothing. X X (24cm 28cm) (28cm 33cm) (33cm 41cm) (41cm 48cm) (48cm 56cm) Technical specification of vests with and without zipper: Wide version U74.W and U73.W X A B C D 22 cm 23 cm 30 cm 38 cm 1 18 cm 21 cm 16 cm 20 cm 23 cm X 46 cm 25 cm 27 cm Narrow version U74.N and U73.N X X X 6 cm 6cm A B C D 30,5 cm 38 cm 46 cm 18 cm 21,5 cm 25,5 cm 20,5 cm 23 cm 27 cm A B 6 cm 6cm How to select a proper size of a chest belt easure the length around the trunk from the front where the belt will be used. d³ugoœæ zmierzona cm cm 56-65cm cm cm Dane techniczne szerokiego pasa piersiowego U80. A B X 31,8 cm 39,7cm 7,6 cm 8,9 cm 47,6cm 10,3 cm 55,6cm 11, X 63,5cm 12,7 cm Normally upper stabilization belts are delivered with front pull which allows a seated person to adjust the pull. Belts may be also delivered with rear pull when is not recommended that the patient may adjust the pull. E 9 cm 12 cm 16 cm E 9 cm 10 cm 10 cm Technical specification of shoulder belts.. H Belts U79 X neoprene length 31cm 34cm 41cm 47cm shoulder belts U78 neoprene length 2 29 cm 3 Tightening the straps Always keep the belt tightened at adjustment straps during daily use to ensure correct placement, adequate stabilization, to allow movement and correct respiratory volume. Attaching to the frame An easy fastening system allows fitting and adjustment of strap in length. Clip buckles on each end of the strap allows quick and easy attachment and removal of belts and vests. It also allows precise positioning of anchoring points on the frame. This system does not require readjustment of the pull after taking the straps off and fastening them again as attachment ends always stay in the chair pecial buckle. akes much easer adjust the belt tension in the case of rear pull version. It s applys to the backrests based on wood and ERGO type. Just screw in to the base of backrest. NEO-FEX POTURE AND UPPORT YTE N.V. Vermeiren N.V. Vermeirenplein 1-15 B-2920 Kalmthout Belgium Tel. : +32 (0) Fax: +32 (0) info@vermeiren.be

7 For more information, contact your local dealer N.V. Vermeiren N.V. Vermeirenplein 1-15 B-2920 Kalmthout Belgium Tel. : +32 (0) Fax: +32 (0) info@vermeiren.be QUAITY EUROPE NEO-FEX POTURE AND UPPORT YTE O p e n i n g u p n e w h o r i z o n s i n m o b i l i t y

DO NOT SIT WITHOUT PROPER FIT. Objectives. Recommendations 4/23/2014 CSMC Participants will be able to:

DO NOT SIT WITHOUT PROPER FIT. Objectives. Recommendations 4/23/2014 CSMC Participants will be able to: DO NOT SIT WITHOUT PROPER FIT CSMC 2014 Presented by: Elizabeth Cole, MSPT, ATP Director of Clinical Rehab Services Objectives Participants will be able to: Match each anatomical measurement to the corresponding